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HomeMy WebLinkAbout164315 09/30/2008 t, CITY OF CARMEL, INDIANA VENDOR: T361907 Page 1 of 1 ONE CIVIC SQUARE TYLER LACOSSE CHECK AMOUNT: $20.00 CARMEL, INDIANA 46032 345 ENDICOTT ST APT 3203 CHECK NUMBER: 164315 CARMEL IN 46032 CHECK DATE: 9/3012008 DEPAR ACCOUNT PO N UMBER INVOICE NUMBE A DESC 1047 4358400 20.00 REFUNDS.AWARDS TNDE n n, i i e Y <a s PASS REFUND RECEIPT Receipt 178939 Payment Date: 08/19/2008 RE� Household 21398 Home Phone: (815)592 -8932 SEP 200$ Work Phone: BY: 1 TYLER LACO Monon Center 'All"11� 3 CrY,1l c�f Carmel IN 46032 X0 3 2 ,)-3 Phone: (317)848 -7275 CA r-he- u 3 Z Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 20.00 Pass Holder: Tyler Lacosse Fees Tax Discount Prev Paid Cur Paid _Amount Due Pass Type: Yly FT Alt Res (YFTAR), #35950 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/19/2008 to 08/19/2009 Pass Cancellation) Cancel Reason: staff error G/L Code Descri Ac count Number Cst Cntr Descri Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 20.00 DR The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund. Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers. PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 08/19/08 19:27:10 by ARH FEES CHANGED ON CANCELLED ITEMS 20.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 ,NET,AMOUNT FROM'CANCELLED'r1TEMS '20;OD=;` =TOTAL gMOUNT REF,.UNDEDi 20 OD; NEW NET HOUSEHOLD BALANCE 0.00 Refund of 20.00 Made By REFUND FINAN With Reference All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. N or credit card refunds. moo q, Authorized Signature Date Authorized Signature Date H 3c� L,. 2 o 's A C CA�.� of s IO,,\ rA AAY�A C Page 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Lacosse, Tyler Terms 345 Endicott St., Apt 3203 Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8119108 178939 Refund 20.00 Total Is 20.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 1 20 Clerk- Treasurer Voucher No. Warrant No. Lacosse, Tyler Allowed 20 345 Endicott St., Apt 3203 Carmel, IN 46032 In Sum of 20.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members Dept 1047 178939 4358400 20.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 25 -Sep 2008 Signature 20.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund